EL-08-2123Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Scheduled Inspection Date: May 12, 2009
Inspector: Devaney, Michael
Owner: SILVA, ANDREW
Job Address: 42 NE 97 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: ALTO VOLTAGE INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060130780
Phone: (305)218 -7347
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 101880. need 3' clearance ion
frount of panel. garage receptacles to be G >F >IO> protected. 6 bonding
conductor to be in P >V >C> or metel conduit connected to copper pipe.
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. `�f ai93
Master Permit No.
BUILDING
PERMIT APPLICATION
FBC 2004
JJ L,98 kJ
BY: I
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) AU ® �B 1--V4 Phone #
Owner's Address Z T-7 5.5 , L S 5..5 C5E,
City State
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
County Miami -Dade Zip 35f38
Is Building Historically Designated YES NO
Contractor's Company Name re a e x_ DAczt __
Contractor's Address 2- ij 2.- ' ..4 f 2-42P
City 6, State
Qualifier Name 3-6 y ® VG-An
State Certificate or Registration No.Je®Lf IV'9 $`°1
E -MAIL:
Phone # -1 3 7
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of
Zip
Phone # 365 223 z-Z C
Certificate of Competency No. CYZ., O®0 13 S
Phone #
Square / Linear Footage Of Work:
'on - ► Alteration ❑New - El Re
e
air /Replace ❑ Demolition
L
MIAMISHON -. yiLLA x *xxx ,�xx x
Ismco
xxxx Feesxxx xxxx xx xxlexxxxxxxxxxxxxxxxxx xnkxxxlele 'clew xxxir
Permit Fee $ /gre>
Notary $ Training /Education Fee $
Scanning $ R
Bond $
CCF$
Technology Fee $
Structural Review. $
MIAMI SHORES VILLAGE
Zoning $
,Tgal.7 Total Fee Now Due $
See Reverg side -+
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. ( certify that no work or installation has -
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose properly is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absenc .f such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owns, it
,The foregoing instrument was acknowledged before me this 7114
day of fir , 200E_, by Adel) SINVI
who is personally known to me or who has produced f1.' j
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Exp
Signature
Contractor
The forekoing instrument was acknowl dged belle me pis
day of , 2003, by (t@ Are
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:usOF FLOSS
w xw c WWW XWCY. WWC W ff1C %Y.X' *WWWW C*XY.Y%
ALINA NEGRIN
MY COMMISSION # DD'394605
EXPIRES: February 9, 2009
*** * ***etNota{ %x� x
APPLICATION APPROVED BY:
(Revised 02 /08/06)
Plans Examiner
Engineer
Zoning